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NPI 1669897385 · Tucson, AZ · Multi-Specialty Clinic/Center
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Community Partners Integrated Healthcare, Inc. is a multi-specialty clinic/center provider located in Tucson, Arizona. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Partners Integrated Healthcare, Inc. |
| Address | 1021 E Palmdale St Ste 150-190 |
| City | Tucson |
| State | AZ |
| ZIP | 85714 |
| Taxonomy | Multi-Specialty Clinic/Center |
| NPI Enumerated | March 4, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $99.2M |
| Medicare | $0 |
This provider is effectively single-payer in scope: there is no Medicare billing on file while total Medicaid revenue is $99.2M. Its NPI was enumerated on 2014-03-04 (approximately 12 years ago), indicating an established presence in the Arizona market but a business model that is overwhelmingly Medicaid-dependent.
Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (T1016, H0004, H0031) account for 76.5% of the provider's Medicaid revenue. Individually those codes are T1016 ($35.3M, 35.8%), H0004 ($32.3M, 32.7%), and H0031 ($7.9M, 8.0%), showing the bulk of dollars flow from case management, behavioral health counseling/therapy, and mental health assessments.
The code mix indicates a behavioral-health–centered multi-specialty operation: very large volumes of T1016 (case management, 751.7K claims) and H0004 (behavioral health counseling and therapy, 282.9K claims) combined with H0031 (44.8K claims) and H0018 (20K claims, short-term residential) point to integrated outpatient and residential behavioral health services rather than a general medical clinic. Ancillary behavioral services such as H0038 (self-help/peer services, $2M) and medication-related codes (H2010, 90792) further support that the organization delivers layered community-based behavioral health care.
On competitive standing within Arizona the provider is a dominant outlier for its top behavioral-health codes: T1016 ranks #10 of 1157 (99th percentile; extreme outlier), H0004 ranks #8 of 1147 (99th percentile; extreme outlier), and H0031 ranks #12 of 812 (99th percentile; extreme outlier). These rankings indicate the provider is a major statewide player for case management, counseling/therapy, and non-physician mental health assessment relative to in-state peers.
While behavioral health and case management drive the majority of revenue, the provider also bills substantial volumes for psychotherapy and office visits: 90837 appears with 11.7K claims and $1.9M revenue (1.9% of Medicaid revenue, ranks #10 of 382, 98th percentile), and 99214 shows 58.1K claims with $5M revenue (5.1% of Medicaid revenue, ranks #64 of 3041, 98th percentile). These patterns suggest both high-intensity therapy sessions and significant primary/behavioral health E/M activity are part of the care mix, but they remain secondary to the case management and counseling revenue stream.
Operational scale is evidenced by very large claim counts and modest per-claim payments for time-based services (e.g., T1016 751.7K claims at $47 avg paid/claim; H0004 282.9K claims at $114 avg paid/claim). That combination of high-volume, time-based billing implies a delivery model built around frequent, shorter-duration encounters and case-management touchpoints across a broad patient population.
The heavy concentration of revenue in three Medicaid service codes (76.5% concentrated) creates both vulnerability and leverage: the provider would be sensitive to reimbursement or policy changes affecting T1016, H0004, or H0031, but its scale and high percentile rankings may also give it negotiating or programmatic influence with payers and state behavioral health programs.
Beyond core counseling and case management, the provider bills for a range of community supports—peer services (H0038: 39.1K claims, $2M revenue, ranks #14 of 583, 98th percentile), home care training (S5110: 21.7K claims, $1.3M), and non-emergency transportation (S0215/A0120)—indicating a comprehensive set of ancillary services that align with community-based behavioral health and social-support models.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
56 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 751,680 | $50 | $35.3M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 282,920 | $110 | $32.3M |
| H0031 | Mental health assessment, by non-physician | 44,820 | $180 | $7.9M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 19,950 | $310 | $6.2M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 58,080 | $90 | $5M |
| H0038 | Self‑help/peer services, per 15 minutes | 39,090 | $50 | $2M |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 11,750 | $160 | $1.9M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 24,950 | $60 | $1.5M |
| S5110 | Home care training, family; per 15 minutes | 21,740 | $60 | $1.3M |
| H2010 | Comprehensive medication services, per 15 minutes | 79,310 | $10 | $872.4K |
Showing 1–10 of 56
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
56 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 30 | 360 | 430 | $320 | $2.3M |
| H2010 | Comprehensive medication services, per 15 minutes | 35 | 80 | 71,620 | $10 | $1.7M |
| T1016 | Case management, each 15 minutes | 10 | 1,160 | 2,110 | $30 | $1.2M |
| S0215 | Non-emergency transportation; mileage, per mile | 146 | 510 | 4,610 | $40 | $1.2M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 8 | 1,150 | 1,700 | $90 | $1M |
| H2016 | Comprehensive community support services, per diem | 263 | 290 | 840 | $280 | $890.1K |
| H2014 | Skills training and development, per 15 minutes | 145 | 780 | 1,610 | $100 | $868.2K |
| H2011 | Crisis intervention service, per 15 minutes | 27 | 140 | 330 | $210 | $659.5K |
| H2027 | Psychoeducational service, per 15 minutes | 85 | 500 | 750 | $170 | $592.2K |
| H0038 | Self‑help/peer services, per 15 minutes | 14 | 580 | 1,250 | $80 | $479.7K |
Showing 1–10 of 56
Other providers in the same ZIP code as Community Partners Integrated Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | AZ | Federally Qualified Health Center (FQHC) | $0 | $10.4M |
| Native Music Coalition | AZ | Peer Specialist | $0 | $10M |
| Banner -- University Medicine Crisis Response Center LLC | AZ | Adult Mental Health Clinic/Center | $0 | $8.3M |
| Victoria Soyannwo | AZ | Psychiatry Physician | $42.2K | $60.9K |
| Tuan Vo | AZ | Family Medicine Physician | $42.9K | $0 |
| Mary Murrietta | AZ | Psychiatric/Mental Health Nurse Practitioner | $35.4K | $0 |
| Maria Proytcheva | AZ | Anatomic Pathology & Clinical Pathology Physician | $24.5K | $0 |
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